KELLY DALLAS (PA-C) – Physician Assistant, NPI 1497091193
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for KELLY DALLAS (PA-C)
4 EVES DR # A
SUITE 100
MARLTON, NJ 080533195
Phone: (609) 267-9400
Fax: (609) 267-9457
Type: Mailing
401 YOUNG AVE
SUITE 245
MOORESTOWN, NJ 080573130
Phone: (609) 267-9400
Fax: (609) 267-9457
Type: Location
301 LIPPINCOTT DR STE 410
MARLTON, NJ 080534197
Phone:
Type: Mailing
131 ROUTE 70 STE 100A
MEDFORD, NJ 080559501
Phone: (609) 267-9400
Fax: (609) 451-5518
Type: Location
325 Route 70 E
Cherry Hill, NJ 080342408
Phone: (609) 267-9400
Fax: (856) 488-5709
Type: Location
300 W Route 38 Ste A
Moorestown, NJ 080573424
Phone: (609) 267-9400
Fax: (856) 234-3921
Type: Location
243 US Highway 130 Ste 100
Bordentown, NJ 085052137
Phone: (609) 267-9400
Fax: (609) 424-3517
Type: Location
2103 Mount Holly Rd
Burlington, NJ 080164157
Phone: (609) 747-9200
Fax: (609) 747-1408
Type: Location
200 Bowman Dr Ste E100
Voorhees, NJ 080439648
Phone: (609) 267-9400
Fax: (856) 809-2334
Type: Location
994 W Sherman Ave
Vineland, NJ 083606937
Phone: (609) 267-9400
Fax: (856) 696-2214
Type: Location
570 Egg Harbor Rd Ste C4-A
Sewell, NJ 080802359
Phone: (609) 267-9400
Fax: (856) 270-2786
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $228.
Total Amount is formed as General ($228) + Research ($0) + Ownership ($0) = $228.
Last reported payment date: 2024-03-28 • Largest payer in this snapshot: Stryker Corporation ($228).
Total Amount
$228
General + Research + Ownership
Payments
7
Total payment records
General Amount
$228
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $228 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130305000528 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 206 | 41 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 64 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 55 | 55 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 52 | 48 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 37 | 37 | $0 |
Insurance plans in this area (ZIP 08053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Advanced Heart Failure And Transplant Cardiology | MD | |
| - | NJ | |
| - | NJ | |
| G A S T R O E N T E R O L O G Y | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ |
Reviews
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